Kristen Wagstaff Becerra, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMSW-18460 Issued in AZ

Practice address

1120 N 5TH Ave
Tucson, AZ 85705-7408

Phone

(520) 310-5417

NPI assigned

Apr 3, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristen Linda Wagstaff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1912759796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 S SAINT SUZANNE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857137409",
            "telephone_number": "928-920-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N 5TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057408",
            "telephone_number": "520-310-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "KRISTEN",
        "middle_name": "WAGSTAFF",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-18460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WAGSTAFF",
            "middle_name": "LINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Thomas Beaver, PH.D.
• Janelle Beazley, NP
• Bec Oracle LLC
• Caroline Becerra, MD
• Elizabeth Becerra, M.S., CCC-SLP
• William Bechamp
• Bechara Mezher,MD,PC
• Amanda Noel Wagoner Becher, MSW
• Sarah Beck
• Teagan Beck

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.